- GRAIL (Durham, NC)
- …companies. For more information, please visit grail.com . The Associate Director will proficiently lead the Prior Authorization, Billing Data Entry, and ... of prior authorization billing, pre-certification, and eligibility functions. The Associate Director will achieve strategic goals by leveraging their… more
- Cardinal Health (Raleigh, NC)
- …Together, we can get life-changing therapies to patients who need them-faster. The Associate Director , Access and Patient Support (APS) is responsible for the ... level of collaboration and integration with cross functional teams. The Associate Director oversees revenue and budget accountability, organizational… more
- Evolent (Raleigh, NC)
- …the culture. **What You'll Be Doing:** Seeking a detail-oriented **Clinical Rules Management, Associate Director ** who will play a critical role in ensuring the ... in the system. + Clinical knowledge or previous experience in a medical environment is a big plus + Prior experience with working in some type of rules engine or… more
- Organon & Co. (Cary, NC)
- **Job Description** **The Position** The primary responsibility of the Associate Director , Retail Accounts within the Market Access & Account Management group ... but not limited to, primary work location, relevant skills, education level, and/or prior work experience. The applicable salary range for this position in the US… more
- Evolent (Raleigh, NC)
- …the impact of our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both internal ... + 4+ years of analytics & reporting experience in healthcare, including medical economics, cost/utilization analysis, and membership trend reporting. + 4+ years of… more
- Kyndryl (Research Triangle Park, NC)
- …COVID-19 vaccination policies. Those who believe they are eligible may apply for a medical or religious accommodation prior to the start of employment. **Who You ... plans. You may also receive a comprehensive benefits package which includes medical and dental coverage, disability, retirement benefits, paid leave, and paid time… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...standards, and (in some cases) contracts. Primary work reviewing prior -authorization reviews as well as some claims and provider… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues.... + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management,… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues.... + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management,… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... Corporate Medical Director works on problems of diverse scope and complexity...Commercial products + Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, utilization… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- …and academic translational clinical research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director is typically ... with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of... personnel management experience, will support position at entry ( Associate Director / Director ). + An advanced… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- …and/o academic translational clinical research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director and 6-9 ... protocols. + Develops focused expertise to serve as an clinical/ medical scientific consultant to health economic, medical ... personnel management experience, will support position at entry ( Associate Director / Director ). + An advanced… more
- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Director , Consumer Experience ensures optimized interaction between Humana and its customers through ... of predictable and sustainable readiness practices, to ensure that experiences, both associate and consumer facing deliver on intended objectives. The Director ,… more
- Elevance Health (Raleigh, NC)
- **Provider Network Management Director ** _Location: Alternate locations may be considered. This position will work a hybrid model (1-2 days/week in office). The ... our Elevance Health PulsePoint locations._ The **Provider Network Management Director ** is responsible developing provider networks through contract negotiations,… more
- Fresenius Medical Center (Cary, NC)
- …during and post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing techniques to ... thresholds in collaboration with facility management. + Maintains integrity of medical records and other organization administrative and operational records. +… more
- Compass Group, North America (Durham, NC)
- …Friday, 6:30 am to 3:00 pm. More details upon interview. + Requirement: Prior grill cooking and high volume cooking experience is required. *Internal Employee ... the cooking activities of food service associates as assigned by Food Service Director . + Prepares various entrees and menu items following established recipes. +… more
- Compass Group, North America (Durham, NC)
- …11:30 am to 8:00 pm. More details upon interview. + Requirement: Three years of prior culinary experience is required. + Pay Rate: $18.00 per hour. WHAT'S IN IT FOR ... the cooking activities of food service associates as assigned by Food Service Director . + Prepares various entrees and menu items following established recipes. +… more
- Humana (Raleigh, NC)
- …**Reporting Relationship:** This position reports directly to the Behavior Health Lead Medical Director . **Requirements:** . BCBA-D with Florida licensure or ... skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization...credentialing . Prior experience in a clinical role, ideally with exposure… more